Individual
ASHLYN LOUISE DEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 S 1350 W, OREM, UT 84058-3817
(801) 935-4171
Mailing address
150 E 700 N APT 10, PROVO, UT 84606-2701
(480) 494-6838
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A21382530
—
AZ
Enumeration date
04/10/2019
Last updated
04/10/2019
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